title: Evaluation of two novel self-anchoring barbed sutures in a prophylactic laparoscopic gastropexy compared with intracorporeal tied knots.
abstract: OBJECTIVE
  To compare laparoscopic gastropexy using 2 self-anchoring barbed sutures to gastropexy using laparoscopically tied intracorporeal knots.
  
  
  METHODS
  Prospective, randomized controlled, clinical trial.
  
  
  METHODS
  Dogs (n = 30) weighing >16 kg.
  
  
  METHODS
  Dogs were randomly assigned to 1 of 3 laparoscopic gastropexy groups: group 1 (controls), intracorporeal 2-0 polydioxanone sutures (PDSII, Ethicon); group 2, barbed suture (0 Quill™ PDO; Angiotech); and group 3, barbed suture (2-0 V-Loc™ 180; Covidien). Gastropexy suturing time (GST) and total surgery time (TST) were recorded for each dog. Complications were recorded. Each dog was examined by ultrasound (1, 3, and 6 months postoperatively) to ensure persistence of the gastropexy. One dog each in group 2 and group 3 had 2nd look laparoscopy to evaluate the gastropexy.
  
  
  RESULTS
  All gastropexies were intact at 6 months. Mean GST was significantly longer for group 1 (36 minutes; range, 25-46 minutes) than for groups 2 (20 minutes; range, 16-37 minutes) and 3 (19 minutes; range, 15-30 minutes; P < .05), which were not significantly different from each other. Likewise TSTs for groups 2 and 3 were significantly shorter than for group 1 (P < .05).
  
  
  CONCLUSIONS
  Barbed sutures (Quill™ and V-Loc™) allowed for effective intracorporeal laparoscopic suturing of an incisional gastropexy without tying intracorporeal knots.
authors.affiliation: VCA Advanced Veterinary Care Center, Fishers, IN.
authors.forename: Chad E
authors.initials: CE
authors.lastname: Spah
authors.forename: A D
authors.initials: AD
authors.lastname: Elkins
authors.forename: Aaron
authors.initials: A
authors.lastname: Wehrenberg
authors.forename: Michael H
authors.initials: MH
authors.lastname: Jaffe
authors.forename: Debra K
authors.initials: DK
authors.lastname: Baird
authors.forename: James F
authors.initials: JF
authors.lastname: Naughton
authors.forename: Mark E
authors.initials: ME
authors.lastname: Payton
mesh_terms: D000818:Animals; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D005260:Female; D059485:Gastropexy / Q000295:instrumentation / Q000379:methods / Q000662:veterinary*; D010535:Laparoscopy / Q000379:methods / Q000662:veterinary*; D008297:Male; D013277:Stomach Volvulus / Q000601:surgery / Q000662:veterinary*; D013536:Suture Techniques / Q000662:veterinary*; D013537:Sutures / Q000662:veterinary*